Individual provider Active NPI

Faye Diane Campagna, M.A. CCC-SLP/L

  • Speech-Language Pathologist
  • Oak Park, IL
National Provider Identifier
1306935531
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.008258 Issued in IL
Practice address
233 S Kenilworth Ave
Oak Park, IL 60302-3115
Phone
(815) 751-8344
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146008258 IL
Speech-Language Pathologist 235Z00000X 146.008258 IL Primary

Addresses

Primary practice location

233 S Kenilworth Ave
Oak Park, IL 60302-3115

Mailing address

233 S Kenilworth Ave
Oak Park, IL 60302-3115
Phone (815) 751-8344

Other practice location 1

10 W Elm St Apt 708
Chicago, IL 60610-2739
Phone (815) 751-8344

Other identifiers 1

IdentifierTypeStateIssuer
01635796OtherILBCBS PPO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
146.008258ILMDSpeech-Language Pathologist
146008258ILMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1306935531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 S KENILWORTH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603023115",
            "telephone_number": "815-751-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 S KENILWORTH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603023115",
            "telephone_number": "815-751-8344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 W Elm St Apt 708",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606102739",
            "country_code": "US",
            "telephone_number": "815-751-8344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPAGNA",
        "first_name": "FAYE",
        "middle_name": "DIANE",
        "credential": "M.A. CCC-SLP/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146008258",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.008258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PPO",
            "identifier": "01635796",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.